DHHS Internet Website - Public Health

Tuberculosis Forms & Checklists

 

Directly Observed Therapy

• DOT Log 1   
• DOT Log 2 (includes side effects information)
• Reimbursement Form

Cohort Review Forms

 

TB Cohort Form for 2012

TB Cohort Contact Sheet for 2012 (Excel 97-2003 Workbook Format)
 

Latent Tuberculosis Infection

TB Medication Management Form

• LTBI Checklist

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Tuberculosis Home Page

Communicable Disease